How much rates vary
Facilitymedian $7,413 · 10th to 90th $871 to $12,589Professionalmedian $479 · 10th to 90th $245 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,230.27 Median $9,332.54 Typical High $13,182.57 | Facility | None | $1,230.27 | $9,332.54 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $186.21 Median $512.86 Typical High $616.60 | Facility | 26 · Professional part | $186.21 | $512.86 | $616.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $707.95 Typical High $870.96 | Facility | TC · Technical part | $257.04 | $707.95 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $2,137.96 | Professional | None (both parts) | $446.68 | $446.68 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $524.81 | Professional | 26 · Professional part | $186.21 | $186.21 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | TC · Technical part | $257.04 | $257.04 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $288.40 | $489.78 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | 26 · Professional part | $169.82 | $199.53 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $245.47 | $302.00 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $389.05 | $575.44 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $371.54 | Professional | 26 · Professional part | $162.18 | $234.42 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $331.13 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $371.54 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $371.54 | $575.44 | $933.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $371.54 | Professional | 26 · Professional part | $162.18 | $234.42 | $371.54 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $331.13 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $128.82 | $218.78 | $323.59 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $309.03 | $380.19 | $446.68 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $144.54 | $177.83 | $208.93 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $208.93 | $245.47 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,949.84 Typical High $6,456.54 | Facility | None | $478.63 | $1,949.84 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $363.08 | $512.86 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $154.88 | $208.93 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $295.12 | $446.68 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $537.03 | Professional | 52 · Reduced service | $223.87 | $223.87 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $213.80 | Professional | 53 · Discontinued | $89.13 | $89.13 | $213.80 |
Where Ohio sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 41st of 51
$490
WI $1,000NC $331
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.